As a handful of MLS players including Landon Donovan and Teal Bunbury were kept stateside after the USA's loss to Costa Rica, Jeff Larentowicz earned his second appearance for the United States National Team in Brussels, Belgium. Colorado Rapids midfielder Larentowicz came on as a second-half substitute for Jose Francisco Torres. The inclusion of the "ginger ninja" excited many Rapids fans, but the game was ultimately decided by a second-half strike from Nicolas Lombaerts.
King Baudouin Stadium was the victim of heavy rainfall throughout the evening. USA head coach Jürgen Klinsmann decided to shake up the lineup and included Clarence Goodson and Steve Cherundolo into the Starting XI. Clint Dempsey, who did not feature against Costa Rica in Los Angeles, also started in the attacking midfield. Timmy Chandler, who started at Right Back against Costa Rica, played Left Back in place of Edgar Castillo.
The United States appeared to score an equalizing goal but it was nullified for an apparent offsides call during the set piece. Glasgow Rangers midfielder Maurice Edu was on the end of the scramble, only for the goal to be called back by the officials.
Fellow MLS players Kyle Beckerman of Real Salt Lake, and Juan Agudelo of New York Red Bulls, made substitute appearances as well. This was also Jeff Larentowicz' first appearance as a professional footballer in Europe in a match of any kind.